Accounts Receivable Clerk

About the role

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week. Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account.

Responsibilities

• Contact payers by telephone, fax, email, or letter to determine coordination of benefits, contractual, patient and government responsibilities as necessary to have the credit balance reach resolution
• Interpret complex contractual language to complete special projects according to contractual agreements, Medicare, or governmental regulations
• Cultivate effective working relationships with other departments within the RCM team to facilitate the resolution of accounts with credit balances
• Determine if accounts are paid correctly according to contractual agreements or governmental reimbursement methodologies
• Remain current on general regulatory and contractual requirements involving self-studies of payer bulletins and contracts through updates from the supervisor
• To support, enhance, and retain maximum cash reimbursement in accordance with contractual agreements
• Maintain positive relationships with patient, insurance companies and other payers to facilitate resolution of credit balance accounts
• Provide direction and guidance to less experienced team members
• Work from monthly reports reflecting highest dollars and oldest accounts to target and resolve priority accounts
• Resolve billing, collections, customer service requests, and reimbursement questions involving credit balance accounts
• Research and process requests from insurance companies requesting a refund on credit, debit or zero balance accounts
• Identify reoccurring problems, errors, and issues for inclusion on the issue log. Escalate problem accounts to Leadership when appropriate intervention is required
• To meet or exceed productivity and audit standards that has been established according to department requirements

Qualifications

• High School Diploma / GED OR equivalent work experience
• 18 years of age OR older
• 2+ years of experience in insurance billing
• 2+ years of experience in patient, client, or third-party insurance billing
• 2+ years of experience in Auditing
• Basic level of proficiency with Windows PC applications, which includes keyboard and navigation skills and ability to learn new computer programs
• Ability to communicate using tools such as Microsoft Outlook and Microsoft Teams chat
• Ability to work full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift during our normal business hours of 4:00 am - 11:00 pm CST after training. It may be necessary, given the business need, to work occasional overtime

Skills

• Contractual knowledge across multiple payer groups
• Multi-tasking and problem-solving skills
• Organizational skills
• Time management skills
• Collaboration with others
• Prioritization of workflow
• Adaptability to changes

Benefits

We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

Pay

The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.